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Organization
ADVANCED DIAGNOSTIC IMAGING OF NEW JERSEY INC
Active
Organization
ADVANCED DIAGNOSTIC IMAGING OF NEW JERSEY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR M MORA (ADMINISTRATOR,)
(201) 368-2005
Entity
Organization
Contact information
Practice address
34 STATE HIGHWAY ROUTE 17 NORTH, PARAMUS, NJ 07652
(201) 368-2005
(201) 368-1431
Mailing address
34 ROUTE 17 NORTH, PARAMUS, NJ 07652
(201) 368-2005
(201) 368-1431
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
22548
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
374421
PTAN
NJ
05
—
8149909
—
NJ
Enumeration date
03/26/2007
Last updated
11/04/2020
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